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Problems in functioning from the patient perspective using the International Classification of Functioning, Disability and Health (ICF) as a reference
Author(s) -
GRADINGER FELIX,
KÖHLER BARBARA,
KHATAMI RAMIN,
MATHIS JOHANNES,
CIEZA ALARCOS,
BASSETTI CLAUDIO
Publication year - 2011
Publication title -
journal of sleep research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.297
H-Index - 117
eISSN - 1365-2869
pISSN - 0962-1105
DOI - 10.1111/j.1365-2869.2010.00862.x
Subject(s) - international classification of functioning, disability and health , perspective (graphical) , focus group , psychology , clinical psychology , medicine , physical therapy , rehabilitation , computer science , marketing , artificial intelligence , business
Summary We conducted a qualitative, multicenter study using a focus group design to explore the lived experiences of persons with any kind of primary sleep disorder with regard to functioning and contextual factors using six open‐ended questions related to the International Classification of Functioning, Disability and Health (ICF) components. We classified the results using the ICF as a frame of reference. We identified the meaningful concepts within the transcribed data and then linked them to ICF categories according to established linking rules. The six focus groups with 27 participants yielded a total of 6986 relevant concepts, which were linked to a total of 168 different second‐level ICF categories. From the patient perspective, the ICF components: (1) Body Functions; (2) Activities & Participation; and (3) Environmental Factors were equally represented; while (4) Body Structures appeared poignantly less frequently. Out of the total number of concepts, 1843 concepts (26%) were assigned to the ICF component Personal Factors, which is not yet classified but could indicate important aspects of resource management and strategy development of those who have a sleep disorder. Therefore, treatment of patients with sleep disorders must not be limited to anatomical and (patho‐)physiological changes, but should also consider a more comprehensive view that includes patient’s demands, strategies and resources in daily life and the contextual circumstances surrounding the individual.

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